Individual
DR. JEAN E CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 1ST ST NE, NEW PRAGUE, MN 56071-2215
(952) 758-2535
Mailing address
1400 1ST ST NE, NEW PRAGUE, MN 56071-2215
(952) 758-2535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36780
IA
207Q00000X
Family Medicine Physician
50488
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472340
—
IA
Enumeration date
07/24/2006
Last updated
06/16/2008
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